Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | 35.134942 | OH |
N | 208000000X | Pediatrician | 390200000X | WV |
N | 208000000X | Pediatrician | MD.206689 | LA |
Y | 2080P0204X | Pediatric Emergency Doctor | R2181 | TX |
N | 2080P0210X | Pediatric Nephrologist | R2181 | TX |
NPI | 1417111964 |
---|---|
Provider Name | Dr. Shahid Nadeem |
First Address | Dallas, TX 75284-5347 |
Second Address | Dallas, TX 75390-7201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2008 |
Last Update Date | 01/02/2022 |